Document Detail


Improved metabolic control decreases platelet activation markers in patients with type-2 diabetes.
MedLine Citation:
PMID:  15025679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Cardiovascular disease is associated with platelet dysfunction in patients with diabetes. Hyperglycaemia is known as an independent risk factor for micro- and macrovascular complications, and improvement of metabolic control has shown beneficial effects on diabetic late complications. Our study attempts to clarify the effect of improved metabolic control on platelet activation markers in patients with type-2 diabetes. MATERIALS AND METHODS: Thirty patients were studied at baseline and 3 months after improvement of metabolic control and compared with an age-matched nondiabetic control group. Platelet activation markers (CD31, CD36, CD49b, CD62P and CD63) were assessed by flow cytometry analysis. RESULTS:Significantly more activated platelets were detected in patients with diabetes compared with controls. After 3 months' improvement of metabolic control, a significant decline of all platelet activation markers except CD36 was noted. Furthermore a significant correlation between CD62P, CD63 and HbA(1c) levels was observed. CONCLUSIONS: We conclude therefore that improvement of metabolic control has a beneficial effect on platelet activation. This may have an implication in the pathogenesis of vascular disease in patients with type-2 diabetes.
Authors:
N Eibl; W Krugluger; G Streit; K Schrattbauer; P Hopmeier; G Schernthaner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of clinical investigation     Volume:  34     ISSN:  0014-2972     ISO Abbreviation:  Eur. J. Clin. Invest.     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-03-17     Completed Date:  2004-05-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0245331     Medline TA:  Eur J Clin Invest     Country:  England    
Other Details:
Languages:  eng     Pagination:  205-9     Citation Subset:  IM    
Affiliation:
Rudolfstiftung Hospital, Vienna, Austria.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Antigens, CD / blood
Biological Markers / blood
Blood Glucose / metabolism
Diabetes Mellitus, Type 2 / blood*,  drug therapy
Female
Hemoglobin A, Glycosylated / metabolism
Humans
Hypoglycemic Agents / therapeutic use
Male
Middle Aged
Platelet Activation* / drug effects
Prospective Studies
Chemical
Reg. No./Substance:
0/Antigens, CD; 0/Biological Markers; 0/Blood Glucose; 0/Hemoglobin A, Glycosylated; 0/Hypoglycemic Agents

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